| NPI | 1922247428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL J. HAWKS Dme Provider 217-306-0922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-02-07 |
| Last Update Date | 2009-02-07 |